Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics

Giemza K, Dumański S, Pomykała K, Sulerzycki M, Kołodziejczyk K, Dzierżanowski T. Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics. Medycyna Paliatywna/Palliative Medicine. 2024;16(2):57-67. doi:10.5114/pm.2024.140669.

APA

Giemza, K., Dumański, S., Pomykała, K., Sulerzycki, M., Kołodziejczyk, K.,  & Dzierżanowski, T. (2024). Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics. Medycyna Paliatywna/Palliative Medicine, 16(2), 57-67. https://doi.org/10.5114/pm.2024.140669

Chicago

Giemza, Katarzyna, Szymon Dumański, Katarzyna Pomykała, Maciej Sulerzycki, Katarzyna Kołodziejczyk,  and Tomasz Dzierżanowski. 2024. "Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics". Medycyna Paliatywna/Palliative Medicine 16 (2): 57-67. doi:10.5114/pm.2024.140669.

Harvard

Giemza, K., Dumański, S., Pomykała, K., Sulerzycki, M., Kołodziejczyk, K.,  and Dzierżanowski, T. (2024). Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics. Medycyna Paliatywna/Palliative Medicine, 16(2), pp.57-67. https://doi.org/10.5114/pm.2024.140669

MLA

Giemza, Katarzyna et al. "Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics." Medycyna Paliatywna/Palliative Medicine, vol. 16, no. 2, 2024, pp. 57-67. doi:10.5114/pm.2024.140669.

Vancouver

Giemza K, Dumański S, Pomykała K, Sulerzycki M, Kołodziejczyk K, Dzierżanowski T. Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics. Medycyna Paliatywna/Palliative Medicine. 2024;16(2):57-67. doi:10.5114/pm.2024.140669.

PlumX metrics:

Insomnia and other sleep disorders are common among patients receiving palliative care, with a frequency of 25–87%. Risk factors for sleep disorders can be divided into 4 groups: physical, psychological, medical care-related, and personal and environmental. Although the pathophysiological mechanism behind sleep disorders among patients receiving palliative care is not clear, some mechanisms have been described. These include the presence of a specific sleep pattern and sleep debt, the coexistence of a neurobiological and cognitive-behavioural component, the influence of pro-inflammatory cytokines, and the influence of a central nervous system tumour on surrounding tissues. Diagnostic methods can be classified into objective methods, such as polysomnography and actigraphy, and subjective methods, such as sleep assessment questionnaires and sleep diaries. Due to the high intensity of the psychological component and the short duration of the study, subjective methods are considered the most appropriate for patients receiving palliative care.

keywords:

Insomnia and sleep disorders in palliative care patients – epidemiology, risk factors, pathophysiology, and diagnostics

Katarzyna Giemza 1 , Szymon Dumański 1 , Katarzyna Pomykała 1 , Maciej Sulerzycki 1 , Katarzyna Kołodziejczyk 1 , Tomasz Dzierżanowski 1, 2

sleep disorders, palliative care, insomnia

Katarzyna Giemza

¹

,

Szymon Dumański

¹

,

Katarzyna Pomykała

¹

,

Maciej Sulerzycki

¹

,

Katarzyna Kołodziejczyk

¹

,

Tomasz Dzierżanowski

^{1, 2}